Long-Expired Certified Alzheimer Caregiver™ (CAC™) Recertification

All fields marked with * are required to submit the form. You will have an opportunity to review your answers on the following page. When attesting to the training requirements. please keep the following in mind:

The training site/provider must issue you a certificate. Please note that multiple courses from one website provider must be listed separately.

►Participation in employer sponsored training or community based program

You may include any formal training (1) offered by an employer or (2) completed/attended in your community.

►Conferences

You may include any conferences related to aging or eldercare that you have attended. Please list your hours as follows: 3 hours per ½ day or 6 hours per full day

►Develop and teach a course or presentation

You may use a course or presentation you have developed and taught/presented. Credit for each class may be used only once to meet recertification requirements. Credit hours should reflect the number of hours used to teach the class or present your materials. A maximum of 6 hours total for all classes listed can be used to meet our training requirements.

►Publication of article

Articles must be a minimum of 750 words. You will receive 1 credit hour for each article published. You may submit up to 3 articles.

Supporting Documentation for Your Submissions

You do not have to include any supporting documentation with your form. However, you may be asked in future random audits to provide the following:

Online Courses: Copy of Certificate

Conferences: Proof of Registration

Courses Taught: Outline of Course and Materials Used

Publications: Copy of Article

Fee: The fee for a certification expired for 6 months or more is $99. Subsequent renewals are $35 annually.

Better Care Through Understanding

NOTICE: The Certifications conferred by the NCBAC™ (Certified Alzheimer Caregiver™ "CAC™" and Certified Alzheimer Educator™ "CAEd™") are important indicators of quality care. The NCBAC™ does not license, approve nor bestow authorization to anyone the right to practice healthcare where such license or certification is regulated by any state, municipality or other government entity.